Individual provider Active NPI

Nordia Edwards, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Rosedale, NY
National Provider Identifier
1154669372
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F312002 Issued in NY
Practice address
25925 149TH Ave FL 1
Rosedale, NY 11422-3003
Phone
(347) 673-4090
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F312002 NY
Adult Health Nurse Practitioner 363LA2200X F312002 NY Primary

Addresses

Primary practice location

25925 149TH Ave FL 1
Rosedale, NY 11422-3003

Mailing address

25925 149TH Ave FL 1
Rosedale, NY 11422-3003
Phone (347) 673-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327003386 NY Practitioner - Nurse Practitioner 9931622180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians
Emerson Medical Practice of Ny PCGroup PAC ID 4486164142, 11 clinicians

Practice addresses (Care Compare)

2975 Independence Ave
Bronx, NY 10463-4620
Phone (718) 548-1700

3530 Wayne Ave
Bronx, NY 10467-1511
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F312002NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Medical Practice of Ny PC CurrentSince Sep 11, 2025 Accepting new patients
Parkway Preventive Medical Care PLLC CurrentSince Mar 28, 2025 Accepting new patients
Ilm Medical Care PLLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000

1050 Central Ave
Woodmere, NY 11598
Phone (516) 374-9300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1154669372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 149TH AVE FL 1",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223003",
            "telephone_number": "347-673-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25925 149TH AVE FL 1",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223003",
            "telephone_number": "347-673-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NORDIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F312002",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F312002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

Verify at the official NPI Registry.